Effectiveness of internet-delivered acceptance and commitment therapy for improving mental health: a meta-analysis

Sha WEI; Shifen NI; Mingzhao XIAO; Yunfeng GAO; Qinghua LUO

doi:10.16016/j.1000-5404.201802150

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Effectiveness of internet-delivered acceptance and commitment therapy for improving mental health: a meta-analysis

Medical Psychology | 更新时间：2026-01-09

- Effectiveness of internet-delivered acceptance and commitment therapy for improving mental health: a meta-analysis
- Journal of Third Military Medical University Vol. 40, Issue 14, Pages: 1332-1342(2018)
- 作者机构：
  
  1.400016 重庆，重庆医科大学：附属第一医院精神科
  2.400016 重庆，重庆医科大学：附属第一医院泌尿外科
  3.400016 重庆，重庆医科大学：第一临床学院
- 作者简介：
- 基金信息：
- DOI：10.16016/j.1000-5404.201802150
  CLC： R181.23;R749.055
- Received：27 February 2018，
  
  Revised：2018-04-10，
  
  Published：30 July 2018
- 稿件说明：
移动端阅览
Sha WEI, Shifen NI, Mingzhao XIAO, et al. Effectiveness of internet-delivered acceptance and commitment therapy for improving mental health: a meta-analysis[J]. Journal of Third Military Medical University, 2018, 40(14): 1332-1342.
DOI：

Sha WEI, Shifen NI, Mingzhao XIAO, et al. Effectiveness of internet-delivered acceptance and commitment therapy for improving mental health: a meta-analysis[J]. Journal of Third Military Medical University, 2018, 40(14): 1332-1342. DOI： 10.16016/j.1000-5404.201802150.

摘要

目的

系统评价基于网络的接纳与承诺疗法(internet-delivered acceptance and commitment therapy，IACT)对改善抑郁、焦虑和提升幸福感的影响。

方法

计算机检索Cochrane Library、PubMed、EMbase、PsycoINFO、中国知网、万方数据库、维普数据库中有关IACT的随机对照试验(randomized controlled trail，RCT)；采用抑郁和焦虑为第一结局指标，幸福感为第二结局指标。采用标准化均数差(standard mean difference，SMD)和95%可信区间(confidence intervals，CIs)描述统计结果。

结果

共纳入14个RCTs，包括1497名研究对象。Meta分析结果显示，IACT能够改善抑郁[SMD= -0.33，95%

(-0.55，-0.12)，

=0.003

]

和焦虑[SMD=-0.23，95%

(-0.42，-0.04)，

=0.02

]

，提升幸福感[SMD=0.21，95%

(0.05，0.36)，

=0.01

]

。亚组分析结果显示，IACT对改善精神症状人群的抑郁、焦虑并提升幸福感有效，差异具有统计学意义(

＜0.01)；有指导的IACT对改善抑郁和提升幸福感有效，差异具有统计学意义(

＜0.01)。

结论

IACT可以改善人群的抑郁、焦虑并提升幸福感。

Abstract

Objective

To systematically evaluate the effects of internet-delivered acceptance and commitment therapy (IACT) on depression

anxiety and well-being.

Methods

PubMed

EMbase

CENTRAL

PsycoINFO

CSTJ

CNKI and WanFang databases were searched for randomized controlled trials (RCTs) evaluating the effects of IACT on depression

anxiety or well-being

with depression and anxiety as the primary outcome indicators and well-being as the secondary outcome indicator. The outcomes were calculated using the standard mean difference (SMD) with 95% confidence intervals (95%

Results

Fourteen RCTs involving a total of 1 497 patients were included in the analysis. The results of meta-analysis showed that IACT could significantly improve depression [SMD=-0.33

95%

(-0.55

-0.12)

=0.003

]

anxiety [SMD=-0.23

95%

(-0.42

-0.04)

=0.02

]

and well-being [SMD=0.21

95%

(0.05

0.36)

=0.01

]

. Subgroup analyses suggested that IACT had significant effects in improving depression

anxiety and well-being in healthy populations (

0.01); self-administered IACT with assistance by therapists could significantly improve depression and promote well-being (

0.05).

Conclusion

IACT can effectively improve depression

anxiety and well-being.

关键词

Keywords

references

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